About Rehab at SIUH
The inpatient rehabilitation unit is a 68-bed acute care unit that provides 24 hour care to patients who have recently experienced functional impairments. The majority of admissions are related to an acute stroke, brain injury, amputation, neuromuscular disease progression, joint replacement, other orthopedic impairment, debility, and burns.
Types and Ages of Patient Serviced:
The patient population served covers a wide range extending in age from adolescence through geriatrics.
Methods Used to Asses and Meet Patients' Care Needs:
Patients are assessed throughout their hospital stay by ongoing data collection of their medical, cognitive, psychological and functional status. Each patient has a coordinated interdisciplinary plan of care based on identified needs. Professional staff requires NYS Licensure. All staff attends Hospital Orientation, a Rehabilitation orientation and are oriented on the Unit according to their job descriptions. Patient Care Unit Managers (PCUM) and Assistant PCUMs receive a one-month orientation.
Scope and Complexity of Patients' Care Needs:
Persons admitted to the Comprehensive Hospital Inpatient Rehabilitation Program will require treatment for the following medical conditions:
- Spinal cord injury
- Major multiple trauma
- Congenital deformity
- Fracture of the hip
- Brain Injury
- Cardiac impairment
- Pulmonary Impairment
- Medically complex
- Neurological disorders
- Other Orthopedic
Appropriateness, Clinical Necessity, and Timeliness of Services Provided Directly or Through Referral Contacts:
Referrals are made based on identified patient needs and through high risk screening procedures. A preadmission screening procedure under which each prospective P:SOS:4A/4CE 11 patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient hospital program. Appropriateness of ongoing services provided is determined through interdisciplinary team conference, rounds and evaluation of the patient outcomes. There is 24-hour emergency coverage seven days a week.
Availability of Necessary Staff:
RNs, LPNs and PCAs provide patient care 24-hours a day based on a master staffing plan. Rehab Case Managers facilitate the interdisciplinary plan. The PCUM and Assistant Managers are responsible for the overall administrative and clinical unit activities and functions. Our contingency plan includes the use of our float team, reassignment of staff, overtime, and agency personnel when needed to assure safe patient care.
Close medical supervision must be provided by a physician with specialized training and experience in inpatient rehabilitation. Physical therapy, occupational therapy, plus, as needed, speech-language pathology, social services, psychological services (including neuropsychological services), and orthotic and prosthetic services are provided at least 3 hours per day at least 5 days per week.